| NPI | 1588196547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60218049) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-940) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |